Provider Demographics
NPI:1376144535
Name:TOLEDO, ROBERT JR
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:TOLEDO
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4309 PROFESSIONAL PKWY
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-9035
Mailing Address - Country:US
Mailing Address - Phone:614-570-0958
Mailing Address - Fax:614-436-4183
Practice Address - Street 1:4309 PROFESSIONAL PKWY
Practice Address - Street 2:
Practice Address - City:GROVEPORT
Practice Address - State:OH
Practice Address - Zip Code:43125-9035
Practice Address - Country:US
Practice Address - Phone:614-570-0958
Practice Address - Fax:614-436-4183
Is Sole Proprietor?:No
Enumeration Date:2020-11-04
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider